665 results match your criteria Clinics in colon and rectal surgery[Journal]


Patient Satisfaction and Quality of Life with Enhanced Recovery Protocols.

Clin Colon Rectal Surg 2019 Mar 28;32(2):138-144. Epub 2019 Feb 28.

Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.

While studies have demonstrated the benefits of Enhanced Recovery after Surgery (ERAS) programs in reducing length of stay and costs without increasing complications, fewer studies have evaluated patient satisfaction and quality of life (QOL) with enhanced recovery protocols. The aim of this project was to summarize the literature comparing satisfaction and quality of life after colorectal surgery following treatment within an ERAS protocol to standard postoperative care. The available evidence suggests patients suffer no detriment to satisfaction or quality of life with use of ERAS protocols, and may suffer less fatigue and return to activities sooner. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676480
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http://dx.doi.org/10.1055/s-0038-1676480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395092PMC
March 2019
1 Read

Applying Enhanced Recovery Pathways to Unique Patient Populations.

Clin Colon Rectal Surg 2019 Mar 28;32(2):134-137. Epub 2019 Feb 28.

Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Enhanced Recovery after Surgery (ERAS) pathways have become popular in colorectal surgery due to their associated decrease in length of stay (LOS), complications, and readmission rate. However, it is unclear if these pathways are safe, feasible, or effective in unique patient populations such as elderly patients, urgent/emergent surgeries, patients with specific comorbidities, inflammatory bowel disease, or pediatric patients. Enhanced recovery pathways appear safe in elderly patients, associated with decreased complications, though with slightly lower rates of adherence and increased LOS and readmission rates. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676479
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http://dx.doi.org/10.1055/s-0038-1676479DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395174PMC
March 2019
1 Read

Enhanced Recovery after Surgery for Colorectal Surgery: A Review of the Economic Implications.

Clin Colon Rectal Surg 2019 Mar 28;32(2):129-133. Epub 2019 Feb 28.

Department of Surgery, The University of California San Francisco Medical Center, San Francisco, California.

Enhanced Recovery After Surgery (ERAS) programs are transdisciplinary, evidence-based perioperative protocols that aim to standardize best practices and increase the value of delivered healthcare. Quality improvement programs such as ERAS for colorectal surgery have been linked to a reduction in rates of hospital-acquired infections (HAIs) including surgical site infection as well as a reduction in overall length of stay. Importantly, to achieve these results, hospitals must commit to fostering transdisciplinary collaboration across surgery, anesthesiology, and nursing, as well as alignment between frontline providers and hospital executives. Read More

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http://dx.doi.org/10.1055/s-0038-1676478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395088PMC

Pain Management in Enhanced Recovery after Surgery (ERAS) Protocols.

Clin Colon Rectal Surg 2019 Mar 28;32(2):121-128. Epub 2019 Feb 28.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.

Pain control is an integral part of Enhanced Recovery after Surgery (ERAS) protocols for colorectal surgery. While opioid therapy remains the mainstay of therapy for postsurgical pain, opioids have undesired side effects including delayed recovery of bowel function, respiratory depression, and postoperative nausea and vomiting. A variety of nonopioid systemic medical therapies as well as regional and neuraxial techniques have been described as improving pain control while reducing opioid use. Read More

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http://dx.doi.org/10.1055/s-0038-1676477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395101PMC

Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway.

Clin Colon Rectal Surg 2019 Mar 28;32(2):114-120. Epub 2019 Feb 28.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.

Fluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase of the perioperative period. Read More

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http://dx.doi.org/10.1055/s-0038-1676476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395091PMC

Does Implementation of Enhanced Recovery after Surgery (ERAS) Protocols in Colorectal Surgery Improve Patient Outcomes?

Clin Colon Rectal Surg 2019 Mar 28;32(2):109-113. Epub 2019 Feb 28.

Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.

Enhanced Recovery after Surgery (ERAS) protocols are multimodal perioperative care pathways designed to accelerate recovery by minimizing the physiologic stress of a surgical procedure. Benefits of ERAS implementation in colorectal surgery include reduced length of stay and decreased complications without an increase in readmissions. Though there is evidence associating individual ERAS protocol elements (e. Read More

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http://dx.doi.org/10.1055/s-0038-1676475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395090PMC

Implementation of an ERAS Pathway in Colorectal Surgery.

Clin Colon Rectal Surg 2019 Mar 28;32(2):102-108. Epub 2019 Feb 28.

Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Enhanced Recovery after Surgery (ERAS) protocols have been demonstrated to improve hospital length of stay and outcomes in patients undergoing colorectal surgery. This article presents the specific components of an ERAS protocol implemented at the authors' institution. In particular, details of both surgical and anesthetic ERAS pathways are provided with explanation of all aspects of preoperative, perioperative, and postoperative care. Read More

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http://dx.doi.org/10.1055/s-0038-1676474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395097PMC

Contemporary Opportunity for Prehabilitation as Part of an Enhanced Recovery after Surgery Pathway in Colorectal Surgery.

Clin Colon Rectal Surg 2019 Mar 28;32(2):95-101. Epub 2019 Feb 28.

Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.

The implementation of upfront, preoperative habilitation ("prehabilitation"), as opposed to postoperative habilitation (rehabilitation), provides a unique opportunity to optimize surgical outcomes, while ensuring that patients receive necessary conditioning that may otherwise be significantly delayed by postoperative complications. In this review, opportunities to design, implement, monitor, and evaluate a surgical prehabilitation program in colorectal surgery are discussed, and broken down to include emotional, physical, and nutritional aspects of care in the preoperative setting. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676473
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http://dx.doi.org/10.1055/s-0038-1676473DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395100PMC
March 2019
1 Read

Enhanced Recovery after Surgery (ERAS) for Colorectal Surgery.

Authors:
Hiroko Kunitake

Clin Colon Rectal Surg 2019 Mar 28;32(2):93-94. Epub 2019 Feb 28.

Massachusetts General Hospital, Boston, Massachusetts.

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http://dx.doi.org/10.1055/s-0038-1676471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395087PMC

Hiroko Kunitake, MD, MPH.

Authors:
Scott R Steele

Clin Colon Rectal Surg 2019 Mar 28;32(2):91-92. Epub 2019 Feb 28.

Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio.

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http://dx.doi.org/10.1055/s-0038-1676472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395085PMC

Electronic Health Record-Based Registries: Clinical Research Using Registries in Colon and Rectal Surgery.

Clin Colon Rectal Surg 2019 Jan 8;32(1):82-90. Epub 2019 Jan 8.

Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Electronic health records (EHRs) or electronic medical records (EMRs) contain a vast amount of clinical data that can be useful for multiple purposes including research. Disease registries are collections of data in predefined formats for population management, research, and other purposes. There are differences between EHRs and registries in the data structure, data standards, and protocols. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1673358
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http://dx.doi.org/10.1055/s-0038-1673358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327722PMC
January 2019
4 Reads

Enhanced Recovery After Surgery Interactive Audit System: 10 Years' Experience with an International Web-Based Clinical and Research Perioperative Care Database.

Clin Colon Rectal Surg 2019 Jan 8;32(1):75-81. Epub 2019 Jan 8.

Department of Surgery, Örebro University Hospital, Örebro, Sweden.

The Enhanced Recovery After Surgery (ERAS) is a managed care program that has shown the ability to reduce complications following elective colorectal surgery. In 2006, the ERAS Society developed the ERAS Interactive Audit System (EIAS), which has allowed centers in over 20 countries to enter perioperative patient data to benchmark against international practice within the audit system and act as a stimulus for quality improvement. The de-identified patient data are coded in SQL (a relational database), stored on secure servers, and data governance aspects have been secured in all involved countries. Read More

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http://dx.doi.org/10.1055/s-0038-1673357DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327717PMC
January 2019
2 Reads

Review of Colorectal Studies Using the National Cancer Database.

Clin Colon Rectal Surg 2019 Jan 8;32(1):69-74. Epub 2019 Jan 8.

Division of Gastrointestinal and General Surgery, Department of General Surgery, Oregon Health and Science University Portland, Portland, OR.

The National Cancer Database (NCDB) is a large clinical oncology database developed with data collected from Commission on Cancer (CoC)-accredited facilities. The CoC is managed under the American College of Surgeons, and is a multidisciplinary team that maintains standards in cancer care delivery in health care settings. This database has been used in multiple cancer-focused studies and reports on cancer diagnosis, hospital-level, and patient-related demographics. Read More

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http://dx.doi.org/10.1055/s-0038-1673356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327723PMC
January 2019
1 Read

Surveillance, Epidemiology, and End Results (SEER) and SEER-Medicare Databases: Use in Clinical Research for Improving Colorectal Cancer Outcomes.

Clin Colon Rectal Surg 2019 Jan 8;32(1):61-68. Epub 2019 Jan 8.

Department of Surgery, University of Cincinnati School of Medicine, Cincinnati, Ohio.

The Surveillance, Epidemiology, and End Results (SEER) program is a clinical database, funded by the National Cancer Institute (NCI), which was created to collect cancer incidence, prevalence, and survival data from U.S. cancer registries. Read More

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http://dx.doi.org/10.1055/s-0038-1673355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327727PMC
January 2019
8 Reads

Truven Health Analytics MarketScan Databases for Clinical Research in Colon and Rectal Surgery.

Clin Colon Rectal Surg 2019 Jan 8;32(1):54-60. Epub 2019 Jan 8.

Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania.

The MarketScan databases are a family of administrative claims databases that contain data on inpatient and outpatient claims, outpatient prescription claims, clinical utilization records, and healthcare expenditures. The three main databases available for use are each composed of a convenience sample for one of the following patient populations: (1) patients with employer-based health insurance from contributing employers, (2) Medicare beneficiaries who possess supplemental insurance paid by their employers, and (3) patients with Medicaid in one of eleven participating states. Eleven supplemental databases are available, which are utilized to overcome the limited clinical data available in the core MarketScan databases. Read More

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http://dx.doi.org/10.1055/s-0038-1673354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327721PMC
January 2019
2 Reads

Using the National Surgical Quality Improvement Project (NSQIP) to Perform Clinical Research in Colon and Rectal Surgery.

Clin Colon Rectal Surg 2019 Jan 8;32(1):41-53. Epub 2019 Jan 8.

Department of Colon & Rectal Surgery, Cleveland Clinic, Cleveland, Ohio.

The American College of Surgeons' National Surgical Quality Improvement Project (ACS-NSQIP) is probably the most well-known surgical database in North American and worldwide. This clinical database was first proposed by Dr. Clifford Ko, a colorectal surgeon, to the ACS, and NSQIP first started collecting data ca. Read More

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http://dx.doi.org/10.1055/s-0038-1673353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327746PMC
January 2019
1 Read

Clinical Research Using the National Inpatient Sample: A Brief Review of Colorectal Studies Utilizing the NIS Database.

Clin Colon Rectal Surg 2019 Jan 8;32(1):33-40. Epub 2019 Jan 8.

Division of Gastrointestinal and General Surgery, Department of General Surgery, Oregon Health and Science University, Portland, Oregon.

The National Inpatient Sample (NIS) is the largest collection of longitudinal hospital care data in the United States and is sponsored by the Agency for Healthcare Research and Quality. The data are collected from state organizations, hospital associations, private organizations, and the federal government. This database has been used in more than 400 disease-focused studies to examine health care utilization, access, charges, quality, and outcomes of care. Read More

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http://dx.doi.org/10.1055/s-0038-1673352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327729PMC
January 2019
1 Read

Surgical Care and Outcomes Assessment Program (SCOAP): A Nuanced, Flexible Platform for Colorectal Surgical Research.

Clin Colon Rectal Surg 2019 Jan 8;32(1):25-32. Epub 2019 Jan 8.

Elson S. Floyd College of Medicine, Washington State University, Everett, Spokane, Tri-Cities, and Vancouver, Washington.

The Surgical Care and Outcomes Assessment Program (SCOAP) is a surgeon-led quality improvement (QI) initiative developed in Washington State to track and reduce variability in surgical care. It has developed into a collaboration of over two-thirds of the hospitals in the state, who share data and receive regular benchmarking reports. Data are abstracted at each site by trained abstractors. Read More

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http://dx.doi.org/10.1055/s-0038-1673351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327740PMC
January 2019
2 Reads

Statewide Clinic Registries: The Michigan Surgical Quality Collaborative.

Clin Colon Rectal Surg 2019 Jan 8;32(1):16-24. Epub 2019 Jan 8.

Department of Surgery, University of Michigan, Ann Arbor, Michigan.

Regional clinical registries provide a unique opportunity for shared learning and population-based analyses of the quality of surgical care. Through the "Michigan Model" of pay for participation in strategic Value Partnerships, exemplified by the Michigan Surgical Quality Collaborative (MSQC), the state's dominant private insurer, Blue Cross Blue Shield of Michigan, has sponsored 20 statewide clinical quality improvement collaboratives. MSQC represents a partnership among 73 Michigan hospitals with a robust data infrastructure and flexible platform for the promulgation of best practices in surgical quality improvement. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1673350
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http://dx.doi.org/10.1055/s-0038-1673350DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327739PMC
January 2019
10 Reads

Use of the Rochester Epidemiology Project for Clinical Research in Colon and Rectal Surgery.

Clin Colon Rectal Surg 2019 Jan 8;32(1):8-15. Epub 2019 Jan 8.

Division of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota.

The Rochester Epidemiology Project (REP), a longitudinal population-based database, is the largest epidemiologic database in the world. Originally established at Mayo Clinic in Rochester, Minnesota, the REP has been instrumental in defining the natural history of disease states and the impact of treatment in a well-defined population. In the United States, the REP has made important contributions to the colon and rectal literature, largely because healthcare is fragmented with no unique identifier to longitudinally follow-up with a patient throughout the system over his or her lifespan. Read More

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http://dx.doi.org/10.1055/s-0038-1673349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327753PMC
January 2019
3 Reads

Introduction to Big Data in Colorectal Surgery.

Authors:
David A Etzioni

Clin Colon Rectal Surg 2019 Jan 8;32(1):5-6. Epub 2019 Jan 8.

Mayo Clinic College of Medicine and Science, College in Rochester, Minnesota.

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http://dx.doi.org/10.1055/s-0038-1673347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327736PMC
January 2019
2 Reads

Stefan D. Holubar, MD, MS, FACS, FASCRS.

Authors:
Scott R Steele

Clin Colon Rectal Surg 2019 Jan 8;32(1):1-2. Epub 2019 Jan 8.

Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio.

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http://dx.doi.org/10.1055/s-0038-1673345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327750PMC
January 2019
1 Read

History of High-Resolution Anoscopy.

Clin Colon Rectal Surg 2018 Nov 2;31(6):336-346. Epub 2018 Nov 2.

Department of General Surgery, University of Washington, Seattle, Washington.

High-resolution anoscopy (HRA) is a form of low-resolution anal microscopy currently utilized in the screening and management of anal squamous dysplasia. No randomized controlled trials, national or international guidelines exist on the use of HRA for this purpose. Much of our understanding of this entity has been adapted from the literature on cervical squamous dysplasia, including the technique of HRA itself. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668103
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http://dx.doi.org/10.1055/s-0038-1668103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237179PMC
November 2018
14 Reads

Basic Science, Epidemiology, and Screening for Anal Intraepithelial Neoplasia and Its Relationship to Anal Squamous Cell Cancer.

Clin Colon Rectal Surg 2018 Nov 2;31(6):368-378. Epub 2018 Nov 2.

Section of Colon and Rectal Surgery, LSU Department of Surgery, LSU School of Medicine, New Orleans, Louisiana.

Despite the progress made in the reduction of squamous cell carcinoma of the cervix, the incidence of anal squamous cell carcinoma (ASCC) has been increasing since 1992. While it remains an uncommon disease, the prevalence is climbing steadily. Among human immunodeficiency virus (HIV)-infected adults, especially men who have sex with men, ASCC is one of the more common non-AIDS-defining malignancies. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668107
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http://dx.doi.org/10.1055/s-0038-1668107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214809PMC
November 2018
9 Reads

Multidisciplinary Approach to the Management and Treatment of Anal Dysplasia.

Clin Colon Rectal Surg 2018 Nov 2;31(6):361-367. Epub 2018 Nov 2.

Kaiser Permanente Medical Center, Walnut Creek, CA; Division of General Surgery, Kaiser Permanente Northern California, Oakland, CA.

The incidence of anal intraepithelial neoplasia (AIN) has been increasing over the years. AIN acts as a precursor lesion for anal squamous cell cancer. Factors leading to progression of AIN into malignancy are complex and involve grade of the lesion, human papillomavirus and HIV coinfection, as well as patient-related risk factors such as immunocompromised state and men who have sex with men. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668106
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http://dx.doi.org/10.1055/s-0038-1668106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214804PMC
November 2018
21 Reads

So Now My Patient Has Squamous Cell Cancer: Diagnosis, Staging, and Treatment of Squamous Cell Carcinoma of the Anal Canal and Anal Margin.

Authors:
Cindy Kin

Clin Colon Rectal Surg 2018 Nov 2;31(6):353-360. Epub 2018 Nov 2.

Department of Surgery, Stanford University School of Medicine, Stanford, California.

Squamous cell carcinomas of the anal canal and the anal margin are rare malignancies that are increasing in incidence. Patients with these tumors often experience delayed treatment due to delay in diagnosis or misdiagnosis of the condition. Distinguishing between anal canal and anal margin tumors has implications for staging and treatment. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668105
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http://dx.doi.org/10.1055/s-0038-1668105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214805PMC
November 2018
9 Reads

Anal Intraepithelial Neoplasia and Squamous Cell Cancer of the Anus.

Clin Colon Rectal Surg 2018 Nov 2;31(6):347-352. Epub 2018 Nov 2.

Department of Colorectal Surgery, Michigan State University College of Human Medicine, Grand Rapids, Michigan.

Anal intraepithelial neoplasia (AIN) is the premalignant condition of the anal squamous tissue. It is associated with the human papilloma virus and is considered the transition prior to the invasive anal squamous cell carcinoma. It is typically asymptomatic and can be either an incidental finding after anorectal surgery or identified when high-risk patient populations are screened. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668104
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http://dx.doi.org/10.1055/s-0038-1668104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214807PMC
November 2018
13 Reads

Anal Intraepithelial Neoplasia from a Pathologists Point of View.

Clin Colon Rectal Surg 2018 Nov 2;31(6):328-335. Epub 2018 Nov 2.

Department of Pathology and Laboratory Services, San Antonio Military Medical Center, Ft. Sam Houston, Texas.

Anal squamous cell carcinoma is a relatively rare diagnosis, but its incidence has continued to rise. Anal squamous cell carcinoma and its precursor lesion, anal intraepithelial neoplasia (AIN), are human papillomavirus (HPV)-associated squamous neoplasias. High-risk HPV subtypes cause cellular proliferation in the anal transformation zone mucosa leading to similar dysplastic changes as seen in the cervix. Read More

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http://dx.doi.org/10.1055/s-0038-1668102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214808PMC
November 2018
3 Reads

Vaccinations for Anal Squamous Cancer: Current and Emerging Therapies.

Clin Colon Rectal Surg 2018 Nov 2;31(6):321-327. Epub 2018 Nov 2.

Division of Colon and Rectal Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.

Human papillomavirus (HPV) infection is responsible for 4.3% of the global cancer burden. Since 2006, current HPV vaccines have reduced the prevalence of the virus in adolescent girls, reduced the prevalence of genital warts, and been proven to reduce the progression of anal intraepithelial neoplasia in men. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668101
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http://dx.doi.org/10.1055/s-0038-1668101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214806PMC
November 2018
10 Reads

Anal Intraepithelial Neoplasia and Squamous Cell Cancer of the Anus: Past, Present, and Future.

Authors:
Fia Yi

Clin Colon Rectal Surg 2018 Nov 2;31(6):319-320. Epub 2018 Nov 2.

Department of General Surgery, Brooke Army Medical Center, Ft. Sam Houston, Texas.

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http://dx.doi.org/10.1055/s-0038-1668100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214803PMC
November 2018
1 Read

Fia Yi, MD, FACS, FASCRS, LtCol.

Authors:
Scott R Steele

Clin Colon Rectal Surg 2018 Nov 3;31(6):317-318. Epub 2018 Nov 3.

Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH.

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http://dx.doi.org/10.1055/s-0038-1668099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215534PMC
November 2018
1 Read

Colorectal Lymphoma: A Review.

Clin Colon Rectal Surg 2018 Sep 4;31(5):309-316. Epub 2018 Sep 4.

Department of Hematology/Oncology, Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon.

Non-Hodgkin lymphoma (NHL) that primarily involves the colon is rare and should be distinguished from the more common systemic nodal lymphoma. It has unique clinical expectations and management consideration. Different histologic subtypes of NHL involve the colon, which varies in the clinical behavior and likelihood of obtaining durable remissions with treatment. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1642048
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http://dx.doi.org/10.1055/s-0038-1642048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123013PMC
September 2018
12 Reads

Small Bowel and Colorectal Carcinoids.

Clin Colon Rectal Surg 2018 Sep 4;31(5):301-308. Epub 2018 Sep 4.

Division of Surgical Oncology, Department of Surgery, Oregon Health & Science University, Portland, Oregon.

Neuroendocrine tumors, or carcinoid tumors, of both the midgut and hindgut are quite rare, but their incidence is increasing. Surgery is the treatment of choice in patients who can tolerate an operation and have operable disease. Options for the treatment of metastatic disease include cytoreductive surgery, somatostatin analogues, interferon α, local liver therapies (hepatic arterial embolization, ablation), chemotherapy, Peptide-Receptor Radionucleotide Radiotherapy, angiogenesis inhibitors, and mammalian target of rapamycin inhibitors. Read More

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http://dx.doi.org/10.1055/s-0038-1642054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123011PMC
September 2018
3 Reads

Gastrointestinal Stromal Tumors of the Distal Gastrointestinal Tract.

Clin Colon Rectal Surg 2018 Sep 4;31(5):295-300. Epub 2018 Sep 4.

Division of Gastrointestinal and General Surgery, Department of Surgery, Oregon Health & Science University, Portland, Oregon.

Gastrointestinal stromal tumors (GISTs) are rare in occurrence, but comprise the most common mesenchymal tumors of the gastrointestinal tract and affect between 15 and 20 individuals per million per year. Due to recent advancements in molecular classification of these tumors, medical therapy has provided improved outcomes to a historically surgically managed disease. This review article briefly discusses the molecular characteristics, medical and surgical therapies, and future of GIST management. Read More

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http://dx.doi.org/10.1055/s-0038-1642053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123010PMC
September 2018
2 Reads

The Role of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Appendiceal Tumors and Colorectal Adenocarcinomas.

Clin Colon Rectal Surg 2018 Sep 4;31(5):288-294. Epub 2018 Sep 4.

Department of Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Peritoneal surface disease (PSD) has historically been used interchangeably with the term peritoneal carcinomatosis (PC) and has a dismal natural history. A variety of malignant pathologies, including colorectal and appendiceal primary tumors, can disseminate throughout the peritoneal cavity, leading to bowel obstruction and death. In general, peritoneal spread from high-grade appendiceal and colorectal primaries has the potential of hepatic and distant spread and best classified as PC. Read More

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http://dx.doi.org/10.1055/s-0038-1642052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123008PMC
September 2018
5 Reads

Appendiceal Neoplasms.

Clin Colon Rectal Surg 2018 Sep 4;31(5):278-287. Epub 2018 Sep 4.

Division of Gastrointestinal and General Surgery, Department of Surgery, Oregon Health & Science University, Portland, Oregon.

Appendiceal neoplasms are identified in 0.9 to 1.4% of appendiceal specimens, and the incidence is increasing. Read More

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http://dx.doi.org/10.1055/s-0038-1642051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123007PMC
September 2018
3 Reads

Small Bowel Adenocarcinoma.

Clin Colon Rectal Surg 2018 Sep 4;31(5):267-277. Epub 2018 Sep 4.

Division of Hematology and Medical Oncology, Department of Medicine, Knight Cancer Institute, Oregon Health & Sciences University, Portland, Oregon.

Small bowel adenocarcinoma is a clinically and anatomically distinct gastrointestinal cancer that lacks prospective data to support its optimal management. Patients with inflammatory bowel disease and inherited conditions that cause gastrointestinal polyps are at especially high risk. Due to a lack of effective surveillance programs resulting in missed or delayed diagnoses only when symptoms develop, this disease is generally discovered at an advanced stage. Read More

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http://dx.doi.org/10.1055/s-0038-1660482DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123009PMC
September 2018
5 Reads

"Miscellaneous" Tumors of the Small Bowel and Colon and Rectum.

Authors:
V Liana Tsikitis

Clin Colon Rectal Surg 2018 Sep 4;31(5):265-266. Epub 2018 Sep 4.

Division of General and Gastrointestinal Surgery, Department of Surgery, Oregon Health & Science University, Portland, Oregon.

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http://dx.doi.org/10.1055/s-0038-1642050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123014PMC
September 2018
2 Reads

Vassiliki "Liana" Tsikitis, MD, MCR, FACS, FASCRS.

Authors:
Scott R Steele

Clin Colon Rectal Surg 2018 Sep 4;31(5):263-264. Epub 2018 Sep 4.

Department of Surgery, Cleveland Clinic, Cleveland, OH.

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http://dx.doi.org/10.1055/s-0038-1642049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123012PMC
September 2018
2 Reads

Uncommon Diverticular Disease.

Clin Colon Rectal Surg 2018 Jul 22;31(4):258-262. Epub 2018 Jun 22.

Department of Surgery, Henry Ford Hospital, Detroit, Michigan.

This article describes the epidemiology, pathogenesis, diagnosis, and treatment of three rare variants of diverticular disease: cecal and right-sided colonic diverticula, giant colonic diverticula, and small bowel diverticula. Read More

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http://dx.doi.org/10.1055/s-0037-1607970DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014836PMC
July 2018
3 Reads

Evaluation of Quality of Life and Surgical Outcomes for Treatment of Diverticular Disease.

Clin Colon Rectal Surg 2018 Jul 22;31(4):251-257. Epub 2018 Jun 22.

Mercy Surgical Affiliates, Des Moines, Iowa.

The prevalence of diverticular disease in the Western and industrialized nations has increased over the last century, and our understanding of this disease and its management continues to evolve. In this article, we review the literature regarding the postoperative quality of life (QOL) and functional outcomes following surgical management of diverticulitis, including information regarding bowel function, recurrence of symptoms, and other postoperative sequelae. While objective parameters, such as attacks of diverticulitis, complications, and clinical episodes have been studied, there is a paucity of data on less objective factors, such as overall patient satisfaction after operative management of diverticular disease. Read More

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http://dx.doi.org/10.1055/s-0037-1607969DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014837PMC
July 2018
3 Reads

Management of Diverticular Bleeding: Evaluation, Stabilization, Intervention, and Recurrence of Bleeding and Indications for Resection after Control of Bleeding.

Clin Colon Rectal Surg 2018 Jul 22;31(4):243-250. Epub 2018 Jun 22.

Department of Colon and Rectal Surgery, West Bloomfield Hospital, Henry Ford Health System, Detroit, Michigan.

Diverticular bleeding is the most common cause of lower gastrointestinal bleeding with nearly 200,000 admissions in the United States annually. Less than 5% of patients with diverticulosis present with diverticular bleeding and present usually as painless, intermittent, and large volume of lower gastrointestinal bleeding. Management algorithm for patients presenting with diverticular bleeding includes resuscitation followed by diagnostic evaluation. Read More

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http://dx.doi.org/10.1055/s-0037-1607963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014846PMC
July 2018
3 Reads

Surgical Management of Diverticular Disease in the Elective Setting.

Authors:
Jeffrey A Neale

Clin Colon Rectal Surg 2018 Jul 22;31(4):236-242. Epub 2018 Jun 22.

Colorectal Institute, Fort Myers, Florida.

Diverticulosis is a common condition that has increased in prevalence in industrialized countries over the past century. Estimates of developing diverticular disease in the United states range from 5% by 40 years of age up, to over 80% by age 80. It is estimated that approximately 20% of patients with diverticulosis develop diverticulitis over the course of their lifetime. Read More

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http://dx.doi.org/10.1055/s-0037-1607962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014842PMC
July 2018
4 Reads

Current Options for the Emergency Management of Diverticular Disease and Options to Reduce the Need for Colostomy.

Clin Colon Rectal Surg 2018 Jul 22;31(4):229-235. Epub 2018 Jun 22.

Department of Surgery, North Shore University Hospital, Great Neck, New York.

This article reviews the current options and recommendations for the emergency management of acute diverticulitis, including the spectrum of antibiotics, percutaneous drainage, laparoscopic lavage, and surgical options for resection with the restoration of bowel continuity. Read More

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http://dx.doi.org/10.1055/s-0037-1607961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014838PMC
July 2018
3 Reads

Management of Diverticular Disease in the Setting of Other Colorectal Pathology: Data on Simultaneous Issues in Segmental Colitis, Inflammatory Bowel Disease, Cancer, and Complications.

Authors:
Nasrin Ghalyaie

Clin Colon Rectal Surg 2018 Jul 22;31(4):226-228. Epub 2018 Jun 22.

Department of Surgical Oncology, Banner MD Anderson Cancer Center, Gilbert, Arizona.

Diverticulosis of the colon is a very common anatomical condition. In the Western world, it affects more than 70% of over 65 years old population and represents the fifth most important gastrointestinal disease in terms of health care costs in Western countries. The diagnosis of diverticular disease and diverticulitis can be challenging. Read More

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http://dx.doi.org/10.1055/s-0037-1607468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014840PMC
July 2018
4 Reads

Considerations and Changes in the Evaluation, Management, and Outcomes in the Management of Diverticular Disease: The Diagnosis, Pathology, and Treatment of Diverticular Colitis.

Clin Colon Rectal Surg 2018 Jul 22;31(4):221-225. Epub 2018 Jun 22.

Department of Surgery, Division of Colon and Rectal Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.

Diverticular colitis, also known as segmental colitis associated with diverticulosis, is a colonic inflammatory disorder on the spectrum of inflammatory bowel disease (IBD). The disease consists of macroscopic and microscopic inflammation affecting inter-diverticular mucosa, sparing peri-diverticular mucosa, with inflammation confined to the descending and sigmoid colon. The disease likely arises from the altered immune response of an individual, genetically susceptible to the IBD spectrum of diseases. Read More

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http://dx.doi.org/10.1055/s-0037-1607467DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014843PMC
July 2018
3 Reads

Current Status of the Radiologic Assessment of Diverticular Disease.

Clin Colon Rectal Surg 2018 Jul 22;31(4):217-220. Epub 2018 Jun 22.

Division of Colon and Rectal Surgery, Department of Surgery, Henry Ford Hospital, Detroit, Michigan.

Radiologic assessment plays a vital role in the management of diverticulitis. It not only helps in the diagnosis, but also helps to guide the management. As technology has progressed, different modalities have offered insight into the treatment of this disease process. Read More

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http://dx.doi.org/10.1055/s-0037-1607466DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014845PMC
July 2018
6 Reads

Medical Management of Diverticular Disease.

Clin Colon Rectal Surg 2018 Jul 22;31(4):214-216. Epub 2018 Jun 22.

Department of Colon and Rectal Surgery, Henry Ford Hospital, Detroit, Michigan.

This article reviews the current literature supporting the non-surgical options for treatment in acute uncomplicated diverticulitis, complicated diverticulitis, and options for prevention of recurrent diverticulitis. Read More

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http://dx.doi.org/10.1055/s-0037-1607465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014844PMC
July 2018
4 Reads

Epidemiology and Pathophysiology of Diverticular Disease.

Clin Colon Rectal Surg 2018 Jul 22;31(4):209-213. Epub 2018 Jun 22.

Department of Colon and Rectal Surgery, Henry Ford Hospital, Detroit, Michigan.

Colonic diverticular disease is a common health care issue which has historically been attributed to western countries and older age population. Recent studies have shown a rise in incidence among developing countries that have adopted western diets as well as rise in prevalence among younger patients. In this article, the authors discuss the incidence, epidemiology, and pathophysiology of colonic diverticular disease. Read More

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http://dx.doi.org/10.1055/s-0037-1607464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014835PMC
July 2018
33 Reads

Diverticular Disease.

Authors:
Craig A Reickert

Clin Colon Rectal Surg 2018 Jul 22;31(4):207-208. Epub 2018 Jun 22.

Division of Colon and Rectal Surgery, Henry Ford Hospital, Detroit, Michigan.

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http://dx.doi.org/10.1055/s-0037-1607463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014839PMC
July 2018
3 Reads